Active NPI
Katheryn J. Lauer, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- MD60749471
- Practice address
- 302 S 10TH Ave
Yakima, WA 98902-3521 - Phone
- (509) 574-3600
- Fax
- (509) 574-3654
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60749471 | WA | |
| Family Medicine Physician | 207Q00000X | 51613 | MN | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD60749471 | WA | Primary |
Addresses
Primary practice location
302 S 10TH Ave
Yakima, WA 98902-3521
Mailing address
PO Box 9787
Yakima, WA 98909-0787
Phone (509) 574-3600
Other practice location 1
400 East 3rd Street
SMDC Medical Center-Duluth Clinic
Duluth, MN 55805
Phone (218) 786-4020
Other practice location 2
508 S 4th Ave
Yakima, WA 98902-3547
Phone (509) 574-6139
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407910425 | Medicaid | WI | |
| 1407910425 | Medicaid | MN | |
| 2083894 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60749471 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Community Health of Central Washington | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Community Health of Central Washington | Family Medicine | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Past | Accepting new patients |
Locations
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
Family Medicine
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Federally Qualified Health Center (FQHC)
- Tieton, WA
- NPI 1700255874
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Multi-Specialty Clinic/Center
- Yakima, WA
- NPI 1154930543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1407910425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9787",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989090787",
"telephone_number": "509-574-3600",
"fax_number": "509-574-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S 10TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023521",
"telephone_number": "509-574-3600",
"fax_number": "509-574-3654"
}
],
"practiceLocations": [
{
"address_1": "400 East 3rd Street",
"address_2": "SMDC Medical Center-Duluth Clinic",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "55805",
"country_code": "US",
"telephone_number": "218-786-4020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "508 S 4th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023547",
"country_code": "US",
"telephone_number": "509-574-6139",
"fax_number": "509-574-6138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUER",
"first_name": "KATHERYN",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60749471",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "51613",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WA",
"license": "MD60749471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407910425",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407910425",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2083894",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.